Search results for "Highlights"
Clinical practice update focuses on belching, bloating, distention
The American Gastroenterological Association offered 15 best practices for physicians caring for patients with these common GI symptoms.
https://gastroenterology.acponline.org/archives/2023/07/28/1.htm
28 Jul 2023
Healthy lifestyle may mitigate genetic risk for inflammatory bowel disease
In a cohort study, U.K. residents with high genetic risk for inflammatory bowel disease who met four or five lifestyle measures developed Crohn's disease or ulcerative colitis at higher-than-average rates, but at about half the rate of those with both genetic risk and an unhealthy lifestyle.
https://gastroenterology.acponline.org/archives/2023/01/27/3.htm
27 Jan 2023
Defensiveness may help explain limited uptake of FIT, Irish study finds
Patients who declined an invitation to fecal immunochemical testing (FIT) scored higher on a measure of defensive information processing, indicating that certain psychological approaches may be more likely to increase screening uptake.
https://gastroenterology.acponline.org/archives/2023/02/24/2.htm
24 Feb 2023
Review finds only two efficacious medications to treat gastroparesis
Clebopride ranked first for efficacy, followed by domperidone, and no other drug was superior to placebo for improving symptoms of gastroparesis, according to a recent meta-analysis.
https://gastroenterology.acponline.org/archives/2023/01/27/2.htm
27 Jan 2023
RYGB associated with more alcohol-related hospitalizations than other weight-loss strategies
A recent cohort study compared hospitalizations related to alcohol use disorder and mortality among veterans who received Roux-en-Y gastric bypass (RYGB) surgery, sleeve gastrectomy, or referral to a weight management program.
https://gastroenterology.acponline.org/archives/2022/12/23/3.htm
23 Dec 2022
EoE patients with high BMI may be less likely to respond to topical corticosteroids
A retrospective cohort study of patients with eosinophilic esophagitis (EoE) found that each 1-point increase in body mass index (BMI) was associated with a 7% decrease in odds of histologic response to topical corticosteroids and that patients with obesity had about 40% odds of responding compared to those without.
https://gastroenterology.acponline.org/archives/2022/12/23/2.htm
23 Dec 2022
Societies issue joint statement on metabolic, bariatric surgery
The American Society for Metabolic and Bariatric Surgery and the International Federation for the Surgery of Obesity and Metabolic Disorders support surgery for patients with a body mass index of 35 kg/m2 or higher regardless of comorbid conditions, among other guidance.
https://gastroenterology.acponline.org/archives/2022/11/18/3.htm
18 Nov 2022
In adults using oral anticoagulants, PPI use may be associated with lower risk for upper GI bleeding
An ACP Journal Club commentary on the meta-analysis stressed the importance of assessing patients' underlying risk for GI bleeding and using overall clinical risk to guide shared decision making in those at higher risk or with lower baseline bleeding tolerance.
https://gastroenterology.acponline.org/archives/2022/11/18/9.htm
18 Nov 2022
Patients with mild acute diverticulitis can be safely treated without antibiotics in outpatient setting
Patients who presented to an ED and were randomized to receive only anti-inflammatory and symptomatic treatment had similar rates of hospitalization, return to the ED, and pain control as those who received the usual antibiotic treatment, a Spanish trial found.
https://gastroenterology.acponline.org/archives/2021/11/19/2.htm
19 Nov 2021
Patient beliefs associated with successful antibiotic treatment of appendicitis
A secondary analysis of a randomized clinical trial found lower risk for appendectomy and higher likelihood of 30-day resolution of signs and symptoms among those who believed that antibiotics could be completely successful versus those who thought they would be unsuccessful or were unsure.
https://gastroenterology.acponline.org/archives/2022/10/28/2.htm
28 Oct 2022